Individual
DR. PATRICK WILLIAM NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
250 TAMIAMI TRL S STE 103, VENICE, FL 34285-2421
(941) 488-2020
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 488-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3398-35
WI
152W00000X
Optometrist
Primary
OPC6035
FL
152W00000X
Optometrist
OPT002838
GA
Other
Enumeration date
07/23/2014
Last updated
12/13/2021
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